AMA Online Forms

Report an Auto Claim

Please complete the following form to report your claim online.

An AMA Insurance representative will contact you within 1-2 business days to process your claim.

If you require immediate assistance, please call 1-888-426-2444.

About You

Contact Information

780-555-5555
780-555-5555
780-555-5555
780-555-5555

Date of Loss

Other Details

Where did this occur?
Police/Fire Department File Number